A SCOPING REVIEW OF SOCIAL DETERMINANTS OF HEALTH IN CHARLES BONNET SYNDROME RESEARCH

Abstract Charles Bonnet Syndrome (CBS) is a neurological condition featuring pseudohallucinations that affects previously sighted individuals, many of whom are older adults. The CBS literature primarily concerns prevalence estimates, neurological studies, and experiences of people living with the condition; it is not clear what is known concerning social determinants of health (SDoH). We conducted a scoping review guided by Healthy People 2030 SDoH categories including Economic Stability, Education Access & Quality, Health Care Access & Quality, Neighbourhood & Built Environment, and Social & Community Context. Research articles included in this study represent 5 countries on 5 different continents. Sample size ranged from 5 to 88 across all included studies (M = 40.25, Median = 33). Two studies did not report enough info to extract mean age; Mean of mean age across the remaining 6 studies is 63.25 (Range: 27.8-79.47). Across the 8 included articles, 9 different SDoH variables were identified, representing 4 of the 5 Healthy People 2030 SDoH categories, with the exception of Health Care Access & Quality. All studies reported age and gender, most reported education (n = 6, 75%) and living arrangement (n = 5, 62.5%), and half (n = 4) reported marital status. Few studies, however, reported race (n = 2, 25%), loneliness/social life (n = 2, 25%), occupational status (n = 1, 12.5%), and living environment (n = 1, 12.5%). This study highlights the need for expanded inclusion of SDoH variables in CBS research to fill gaps in the knowledge base in this understudied condition.

The population of older adults with autism is growing, yet the literature for this group is still relatively sparse (Mason et al., 2022).Adults with autism are reported to have multiple co-morbidities and a reduced life span (Hand et al., 2020).While physical activity (PA) is known to reduce chronic disease burden, extant research indicates young adults with autism do not engage in physical activity (PA) with the same frequency as neurotypical peers.Little is known about PA for older adults with autism.This scoping review aimed to explore research about PA for older adults with autism.Following the PRISMA-ScR guidelines, 5 databases were searched (2018 and later) with keywords 'autism', 'older adults', 'PA' and age group delimiters.Initially, no articles were found, and the search was expanded to include all adults.After eliminating duplicates, 121 studies were reviewed, with 31 meeting the criteria (PA, autism and no participants less than 18) and 9 having any participants over 50; in each of these 9 studies, the number of participants over 50 was less than 100.Only 2 studies focused on adults over 50.Level of evidence was low.The limited data suggests those aging with autism do not engage in recommended levels of PA, experience barriers to the same, but that interventions improve PA and possibly quality of life.Based on this review, there is a dire need to design interventional research regarding increasing PA in older adults with autism to improve equitable health outcomes for this at-risk group.) and living arrangement (n = 5, 62.5%), and half (n = 4) reported marital status.Few studies, however, reported race (n = 2, 25%), loneliness/social life (n = 2, 25%), occupational status (n = 1, 12.5%), and living environment (n = 1, 12.5%).This study highlights the need for expanded inclusion of SDoH variables in CBS research to fill gaps in the knowledge base in this understudied condition.

A SCOPING REVIEW ON BARRIERS AND FACILITATORS OF COMMUNITY ENGAGEMENT IN LEARNING HEALTH SYSTEMS
Lillian Hung 1 , Karen Lok Yi Wong 1 , Annette Berndt 1 , Tracy Windsor 1 , and Krisztina Vasarhelyi 2 , 1. University of British Columbia,Vancouver,British Columbia,Canada,2. Vancouver Coastal Health,Vancouver,British Columbia,Canada This scoping review identifies the challenges and enablers of community engagement in Learning Health Systems (LHS), an area where elder and health care have growing interests on.LHS aims to improve healthcare delivery, translate knowledge into clinical practice, and emphasize patient-centred outcomes.We followed the Joanna Briggs Institute's (JBI) scoping review methodology.First, keywords and index terms were identified from MEDLINE and CINAHL databases.Second, using the keywords and index terms identified in the first step, other databases like Web of Science, PsycINFO, and Google were searched.Third, the reference lists of the chosen literature were searched.The results include 25 papers.The Assessing Community Engagement (ACE) Conceptual Model by Aguilar-Gaxiola et al. was utilized to inform the analysis.Active community engagement enhances the relevancy and applicability of health research and fosters trust and rapport between healthcare providers and their communities.It is essential to have appropriate support, mutual respect, culturally sensitive and locally relevant processes with common-ground language.We identified several barriers to engagement: 1) meaningful motivations, 2) logistical challenges in processes, 3) disparities in power dynamics, 4) cultural misunderstanding, and 5) lack of knowledge and skills.The review underscores the need to move beyond tokenistic engagement towards genuine community collaborations.Future research should investigate the facilitators that enhance such meaningful partnerships.
Abstract citation ID: igad104.3153Kelsey McNamara, and Ellen Rudy, Papa Inc., Miami, Florida, United States CMS' 2024 Medicare Advantage (MA) Final Rule introduced the health equity index (HEI) to encourage plans to advance equity and improve outcomes for enrollees with social risk factors.Enrollees of focus include those receiving a low-income subsidy, dually eligible for Medicare and Medicaid, and/or having a disability.These populations historically have higher unmet social needs and poorer health outcomes.The purpose of this epidemiological study was to compare self-reported whole health and social needs among MA subpopulations.Analysis included 28,588 MA members who were screened for a companion care program (January-June 2023).Questionnaire included a social needs screener, UCLA-3 Loneliness Scale, and CDC's Healthy Days Measure.To compare across metrics/domains (mental health, physical health, whole health, social support, loneliness), data was normalized 0 to 100 where higher scores represent better outcomes.Among the cohort, average age was 72, 31% male, and 37 states represented.Subpopulations included 70% traditional MA (TMA), 13% dual-eligible (DE), 17% people with disabilities (PWD), < 1% veterans (V).Average outcomes reported by subpopulations were (TMA; DE; PWD; V): number of unmet social needs (1.6; 2.3; 2.6; 1.4); social support score (63; 54; 53; 70); mental health score (74; 63; 59; 73); physical health score (57; 50; 48; 52); whole health score (65; 56; 53; 65).People with disabilities reported the lowest scores and indicate an important subpopulation in need.Meeting the HEI, and ultimately improving outcomes for some of the most historically marginalized members, will require an individualized and holistic approach to health and social care.

A SIGNAL FOR HEALTH EQUITY: DIFFERENCES IN WHOLE HEALTH AND SOCIAL NEEDS AMONG MEDICARE ADVANTAGE SUBPOPULATIONS
Abstract citation ID: igad104.3154

A SYSTEMATIC REVIEW OF THE ART-BASED RESEARCH WITH OLD ADULTS IN SOUTH KOREA Yeojin Yoon, Chung-Ang University, Seoul, Republic of Korea
This study aims to review and summarize the literature on the use of Arts-based Research(ABR) with older adults in South Korea.The study was conducted as a systematic literature review.ABR is method that utilizes the arts to expand horizons of awareness.In South Korea, there is a large gap between the literacy levels of young and older adults and the differences in their cultures.Therefore, using art to convey expressions that are difficult to communicate through text and utilizing common values through art can be more effective than using text.This study was designed using Electronic databases.Keywords for older adult and ABR were searched in Electronic databases, and Korean literature published in peer-reviewed journals before December 31, 2022 were identified.After review of the 1515 abstracts yielded from the databases and the reference lists of the associated articles, 5 eligible studies were identified, and relevant findings extracted.The five eligible studies will not have found all of the ABR on older adults published in South Korea.However, this shows the level of research and interest in arts-based research

A SCOPING REVIEW OF PHYSICAL ACTIVITY IN ADULTS OVER 50 WITH AUTISM: MANY BARRIERS AND SPARSE DATA
Connie Kartoz, Rebeca Jefferson, Antigone Antonakakis, and Chase Eisenberg, The College of New Jersey, Ewing, New Jersey, United States

A SCOPING REVIEW OF SOCIAL DETERMINANTS OF HEALTH IN CHARLES BONNET SYNDROME RESEARCH
CBS) is a neurological condition featuring pseudohallucinations that affects previously sighted individuals, many of whom are older adults.The CBS literature primarily concerns prevalence estimates, neurological studies, and experiences of people living with the condition; it is not clear what is known concerning social determinants of health (SDoH).We conducted a scoping review guided by Healthy People 2030 SDoH categories including Economic Stability, Education Access & Quality, Health Care Access & Quality, Neighbourhood & Built Environment, and Social & Community Context.Research articles included in this study represent 5 countries on 5 different continents.Sample size ranged from 5 to 88 across all included studies (M = 40.25,Median = 33).Two studies did not report enough info to extract mean age; Mean of mean age across the remaining 6 studies is 63.25 (Range: 27.8-79.47).Across the 8 included articles, 9 different SDoH variables were identified, representing 4 of the 5 Healthy People 2030 SDoH categories, with the exception of Health Care Access & Quality.All studies reported age and gender, most reported education (n = 6, 75%